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CARPHA Supports St. Vincent and the Grenadines for CELAC and Cricket World Cup  

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March 9, 2024 – The Caribbean Public Health Agency (CARPHA) conducted an integrated mission to St. Vincent and the Grenadines (SVG) to strengthen surveillance, early warning and response, laboratory, health and food safety capacity in preparation for the 8th Summit of Heads of State and Government of the Community of Latin American and Caribbean States (CELAC) on March 1st  and the  International Cricket Council (ICC) T20 Mens’ World Cup in June.  CELAC welcomed 33 Heads of State and Governments, their respective delegations and regional agency representatives.

The CARPHA mission, led by Dr. Lisa Indar, Director, Surveillance, Disease Prevention and Control (SDPC), comprised  persons from several CARPHA departments,  Ms. Angela Hinds, Head, Health Information, Communicable Diseases and Emergency Response (HCE), Dr. Laura-Lee Boodram, Head, Caribbean Regional Field Epidemiology and Laboratory Training Programme, Dr. Michelle Hamilton, Head of Laboratory Services and Networks (LSN), Mr. Shane Kirton, Programme Manager, Environmental Health and Sustainable Development (EHSD), Drs. Maurice Frank and  Jarelle Branford, Technical Officers, HCE, Mr. Keston Daniel, Epidemiologist, Regional Tourism and Health Program (THP) and Mrs. Danielle Gordon-John, Senior Laboratory Technologist.

Dr. Simone Keizer Beache, Chief Medical Officer (SVG), remarked “The integrated CARPHA SDPC in-country mission took place during the preparations for SVG’s hosting of the CELAC Summit. The schedule was challenging given the competing demands, but the willingness and flexibility of the CARPHA team and the recognition of its importance by the SVG team led to a successful mission.  We strongly recommend that all CARPHA Member States take full advantage of the capacity building opportunities on offer.”  Dr. Lisa Indar indicated, “The wide scope of activities executed by CARPHA covers many facets of strengthening overall public health surveillance and action. It’s the first of a series of visits for host countries for the ICC T20 Mens’ World Cup toward building regional capacity to prepare CARPHA Member States to mitigate against possible public health threats.”

Key outcomes of this mission included:

  • A 2-day workshop on Communicable Diseases Surveillance for Health Workers conducted with 37 participants across the health sector to understand  case definitions and  timely reporting to the central level.
  • Conduct of a National Risk Assessment for mass gatherings,  in collaboration with PAHO, using the WHO/PAHO Mass Gathering Risk Assessment Tool. The results of the risk assessment will be used to guide preparation and response for the upcoming ICC T20 CWC.
  • A desktop simulation exercise with 34 participants, including public health nurses, environmental health officers and law enforcement. This exercise tested how participants responded to multiple public health scenarios during mass gathering events and identified gaps/challenges of the same.
  • Rapid response training for 17 public health professionals, including persons from the security/defense force and the National Emergency Management Organisation. The training reviewed scenarios that  necessitated  mounting a response to a public health emergency by rapidly dispatching a multidisciplinary team to investigate and implement mitigating measures to contain the situation.
  • Mass gathering surveillance training, conducted for 16 key public health staff of the MOHWE, including the CMO and national epidemiologist. An all-hands-on-deck approach was taken emphasizing the need for daily and real-time reporting, monitoring, response, coordination and communication.CARPHA regional mass gathering syndromic surveillance system (MGSS) was detailed, including national surveillance, tourism-based surveillance and the new module developed for mass gatherings. Nurses at the health command centre for the CELAC summit were also trained and registered on MGSS.
  • Training on Food and Environmental Health safety during mass gatherings for 82 food handlers, including those who were providing the catering for the CELAC summit. The training focused on ensuring all food handlers are equipped with the appropriate knowledge and tools to prepare, cook, store and serve food to guestsat the establishments and in a Mass Gathering setting.
  • Training in Prevention and Control of Infectious Diseases, conducted for 50 individuals in the hospitality sector with an additional focus on specificities of Mass Gatherings. The session aimed to build capacity to quickly identify and respond to cases of Infectious Diseases and included participants from the hotel, food, and beverage sectors some of which were working closely with the CELAC summit and will be working with the upcoming Cricket World Cup.
  • Assessments of the  laboratory network of SVG for optimization of laboratory services available in-country. Training in testing for priority pathogens during an emergency response and/or mass gathering was conducted for seven laboratory staff of the Milton Cato Memorial Hospital and the Molecular Laboratory. Protocols were also developed for the operations of an integrated laboratory service, supported by a Mobile Testing Team from CARPHA.
  • The CELACsite visit, inclusive of the mobile emergency operations centre (EOC) and its facilities, was conducted by the CARPHA and MOHWE team.

These workshops proved instrumental in identifying and addressing various challenges. This joint mission has strengthened SVG’s surveillance and response capacity and preparedness to effectively anticipate and manage potential challenges, ensuring a seamless and secure CELAC and T20 CWC tournament experience for all.

CARPHA and SVG continue to work toward supporting SVG’s preparation for these large-scale mass gathering events. The CARPHA team provided support to SVG for the CELAC summit on March 1st as follows: (i) support at National Laboratory (ii) support at health EOC (HEOC) and (iii) support at the health command site at Sandals.

This CARPHA mission to St. Vincent and the Grenadines was made possible through the World Bank via the Organisation of Eastern Caribbean States (OECS) Regional Health Project.

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Bahamas News

CARICOM Targets Affordability as Bahamas, TCI Continue to Feel the Pinch  

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By Deandrea Hamilton

 

Cheaper shipping. Lower energy costs. Better access to healthcare. Stronger consumer protections.

Those are among the measures CARICOM Heads of Government believe could finally begin reducing the stubbornly high cost of living for millions of people across the Caribbean.

Meeting in Saint Lucia, regional leaders agreed that making life more affordable must become one of the Community’s highest priorities. Their emerging strategy includes reducing freight costs through a regional ferry service, accelerating renewable energy projects to lessen dependence on imported fuel, expanding regional healthcare partnerships, strengthening consumer protection, and encouraging governments to adopt successful cost-of-living measures already being implemented across the Caribbean.

“Our discussions over the past four days were guided by one central objective – ensuring that CARICOM delivers results that people can see and feel in their everyday lives,” CARICOM Chairman and Saint Lucia Prime Minister Philip J. Pierre said.

Few places may welcome that relief more than The Bahamas and the Turks and Caicos Islands.

Although inflation has moderated in both countries from the sharp increases experienced following the pandemic, the cost of living remains stubbornly high. Families continue to complain about grocery bills that stretch household budgets, rising housing costs, expensive electricity, healthcare expenses and fuel prices that remain among the highest in the region.

Governments have responded.

In The Bahamas, successive reductions in Value Added Tax on selected goods and other targeted tax measures have sought to ease pressure on consumers. In the Turks and Caicos Islands, the Government this weekend opens applications for its $500 Cost of Living Relief Programme, acknowledging that many households continue to struggle despite the country’s economic success.

Yet affordability remains elusive.

The contradiction is difficult to ignore.

The Turks and Caicos Islands continues to post one of the region’s strongest tourism-driven economies, with robust investment, record visitor spending and sustained construction activity. The Bahamas has also strengthened its economic position, earning improved sovereign credit ratings as tourism, government revenues and fiscal performance continue to recover.

Yet those encouraging economic indicators have not translated into noticeably lower household expenses.

The reason is largely structural.

Both The Bahamas and the Turks and Caicos Islands produce relatively little of what they consume. Food, fuel, medicines, vehicles, building materials and countless household essentials are imported. Both countries also record significant trade deficits, illustrating their dependence on overseas suppliers. Every increase in global shipping costs, fuel prices or supply chain disruptions is eventually reflected in supermarket prices, utility bills and the cost of everyday living.

That is why CARICOM’s agenda matters.

If regional leaders succeed in lowering freight costs through an inter-island ferry network, expanding renewable energy, improving regional cargo movement, strengthening consumer protections and making healthcare more accessible through cooperation, the benefits could extend far beyond government balance sheets.

For Bahamians and Turks and Caicos Islanders, success will not be measured by another tourism record or another credit rating upgrade. It will be measured at the supermarket checkout, on the monthly electricity bill, at the gas pump and in the simple ability to afford a better quality of life.

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Caribbean News

From Pathways to Investment: Tackling the US $6 Billion Food Challenge for the Caribbean

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By Kenroy Roach

The Caribbean’s food systems challenge is fast evolving into a broader development challenge.

Despite decades of policy attention and investment, the region remains one of the most food import-dependent in the world, spending over US$6 billion annually. At the same time, countries continue to grapple with food insecurity, high rates of diet-related non-communicable diseases, climate vulnerability, and exposure to external shocks that can disrupt supply chains and drive up food prices almost overnight.

For Small Island Developing States (SIDS), food security has shifted from an agriculture focus alone, it’s about economic resilience, health, climate resilience and sustainable growth.

Recognizing this reality, Caribbean governments have elevated food systems transformation as a regional priority through the CARICOM 25 x 25 Plus Five Agenda, which seeks to reduce food import dependence while strengthening domestic production, regional trade, and resilience. Across Barbados and the Eastern Caribbean, governments have also developed National Food Systems Pathways that identify the investments, partnerships, and policy reforms needed to transform food systems and accelerate progress toward the Sustainable Development Goals (SDGs).

Yet one challenge has remained persistent: financing.

In the face of high levels of public debt and limited fiscal space, while public investment remains critical, Caribbean governments simply cannot shoulder the financing burden alone. Transforming food systems at scale requires mobilizing far greater private capital, alongside development finance and public resources.

This was the rationale behind the recent convened in Barbados.

The Forum brought together governments, investors, international financial institutions, private sector leaders, regional organizations, and the United Nations around a simple proposition: food systems should be viewed not only as a development priority, but also as an investable asset class.

A distinguishing feature of the innovative gathering was its focus on attracting private investment—particularly private equity, impact investment, and blended finance solutions capable of supporting businesses and infrastructure across food value chains. By helping enterprises access growth capital and connecting investors with scalable opportunities, the initiative sought to unlock financing that complements public investment rather than adding to already constrained public balance sheets.

A key outcome was the launch of a regional Deal Book comprising approximately US$320 million in investment opportunities across seven countries, spanning agriculture, fisheries, agro-processing, logistics, and strategic food systems infrastructure. The Deal Book created a practical bridge between capital seeking opportunities and opportunities seeking capital, while enabling direct engagement between governments, enterprises, and investors.

The results were encouraging.

Across four sector-focused deal rooms, participants explored investment-ready and near-investment-ready opportunities and discussed blended finance private equity, risk-sharing, and partnerships to advance projects toward implementation.

The Forum highlighted a shift in perspective: food systems are now seen as strategic drivers of economic diversification, resilience, competitiveness, and growth. Investments across production, processing, logistics, and distribution can strengthen regional supply chains, create new businesses, generate jobs, and reduce vulnerability to external shocks.

For the United Nations, this experience reinforced an important lesson.

Transforming food systems requires more than the technical expertise of individual agencies. It requires integrated solutions that connect agriculture, nutrition, health, climate resilience, trade, private sector development, and financing.

This is where the Resident Coordinator System plays a critical role.

Across Barbados and the Eastern Caribbean, the Resident Coordinator Office has united UN system capabilities around a common food systems agenda. Working with FAO, WFP, the UN Food Systems Coordination Hub, and other partners, the RCO has helped align policy support, technical expertise, partnerships, and financing with nationally identified priorities.

The Forum demonstrated this integrated approach by convening governments, investors, development finance institutions, private sector actors, and UN agencies around a common objective. It showcased the UN’s comparative advantage as a trusted broker capable of connecting development priorities with investment opportunities.

The Forum’s success will be measured not by dialogue generated, but by investments mobilized, businesses expanded, and progress made toward resilient, competitive Caribbean food systems across the Caribbean.

Its most important outcome may therefore be what comes next.

The work starts now.

Kenroy Roach is Head of the UN Resident Coordinator Office for Barbados and the Eastern Caribbean

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Caribbean News

Returning Haitians Could Be the Answer Haiti Has Been Praying For  

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Deandrea Hamilton | Editor

What if we rejected the notion that Haitians flourish best only when they are outside of Haiti? What if the next great Haitian success story is not another exodus, but a hearty homecoming? For years, the conversation has been steered toward ushering Haitians out of Haiti. Having witnessed the indomitability of the Haitian people, I feel compelled to point out that a U.S. Supreme Court decision may force us to see what has been staring us in the face all along: the solution may be hundreds of thousands of Haitians themselves.

As thousands of Haitians in the United States prepare for the end of Temporary Protected Status (TPS)—a humanitarian programme created under U.S. law as a temporary protection, not a permanent immigration pathway—the conversation should extend beyond American immigration policy. It should turn to Haiti’s future.

History offers perspective. An estimated 20,000 to 30,000 Haitian revolutionaries defeated Napoleon’s forces and secured independence in 1804, making Haiti the first Black republic and the second independent nation in the Western Hemisphere. Now imagine the force of more than 300,000 Haitians returning with skills, discipline and experience gained in the world’s largest economy.

Add to that, Haiti is itself sending a clear message: the country needs its people.

I found a report from the Armed Forces of Haiti (FAd’H) which recently announced that 17,722 applicants came forward in just 11 days during its latest recruitment campaign. A second recruitment phase is planned and will specifically target professionals in law, engineering, medicine and other technical fields, as the country works to strengthen institutions, restore security and prepare for the future.

Coincidentally—or perhaps providentially—many of the Haitians now facing the end of TPS are not returning empty-handed. They include thousands of nursing assistants, caregivers, mechanics, delivery drivers, warehouse workers, agricultural workers, hotel employees, cooks, retail workers, security officers, landscapers, school assistants and property managers. They are returning with years of experience gained inside the world’s largest economy. They have learned trades, embraced innovation, worked within structured systems, met professional standards and developed the practical skills every successful nation depends upon.

These are not simply returning migrants.  They may be the human capital Haiti needs most.

For generations, Haitians have become experts at surviving and thriving in other lands. They have endured political upheaval, natural disasters, poverty, insecurity and displacement with extraordinary resilience. But survival and escape  cannot build their nation. At some point, survival must give way to rebuilding. And hope for home must command action. It requires people willing to invest not only in their families, but in the future of the country itself.

For decades, the Haitian diaspora has faithfully sustained families through remittances. That generosity has been indispensable. But rebuilding Haiti will require something remittances alone cannot provide. It will require human capital—teachers in classrooms, nurses in clinics, engineers on construction sites, entrepreneurs creating jobs, police protecting communities, judges strengthening the rule of law, and citizens committed to rebuilding the institutions that hold a nation together.

Anyone who has spent time in Haiti knows it is far more than the headlines. It is a nation of breathtaking mountains, secret waterfalls, fertile valleys and rice paddies. It is a land of remarkable creativity, deep faith, natural entrepreneurs, rich culture and resilient people. It is the oldest republic in Latin America and the Caribbean and the first Black republic in the modern world. Above all, it is a country worth fighting for.

Perhaps the fight itself now needs to change.

For too long, the world has defined Haiti by its crises. Haitians know it by its promise. The next fight should not simply be to survive, but to rebuild—to inject a new generation of skilled workers, professionals and entrepreneurs into a nation that desperately needs their mental muscle, their experience and their vision.

Returning home will not be easy, but what if returning became rewarding and the contribution of these thousands of Haitians became the catalyst for transforming or reforming the nation they call home?

No country can export its builders forever and expect to become stronger. Haiti has spent decades sharing its greatest resource with the world—its people. Perhaps the next chapter in Haiti’s remarkable story is not another exodus, but this very homecoming.

The next chapter of Haiti’s story should not be written at an airport departure gate, nor should it be framed only as horror for those whose TPS protections are ending. The real test now is whether advocates, attorneys, governments and the wider Caribbean do more than wave goodbye. We must help more than 330,000 Haitians find their footing, settle back in, put their skills to work and build the Haiti that generations of Haitians have always deserved.

Research & Development supported by ChatGPT AI

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